Oui, l'exercice régulier renforce les os et réduit le risque de fractures.
Activité physiquePrévention des fractures
#5
Les médicaments peuvent-ils affecter la santé osseuse ?
Oui, certains médicaments comme les corticostéroïdes peuvent augmenter le risque de fractures.
MédicamentsSanté osseuse
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"name": "Les symptômes varient-ils selon l'os fracturé ?",
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"name": "Y a-t-il des symptômes associés à la guérison ?",
"position": 9,
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"name": "Quels signes d'infection après une chirurgie ?",
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"@type": "Question",
"name": "Comment prévenir les fractures ?",
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"acceptedAnswer": {
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"text": "Maintenir une bonne santé osseuse par une alimentation riche en calcium et en vitamine D."
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"@type": "Question",
"name": "Le port d'équipements de protection est-il utile ?",
"position": 12,
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"name": "Comment éviter les chutes chez les personnes âgées ?",
"position": 15,
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"@type": "Question",
"name": "Comment se déroule la pose d'une plaque orthopédique ?",
"position": 16,
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"@type": "Question",
"name": "Quels types de plaques existent ?",
"position": 17,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Quel est le rôle de la rééducation après la chirurgie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation aide à restaurer la fonction, la force et la mobilité du membre affecté."
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{
"@type": "Question",
"name": "Quels médicaments sont prescrits après la chirurgie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des anti-inflammatoires sont souvent prescrits pour gérer la douleur."
}
},
{
"@type": "Question",
"name": "Quand peut-on reprendre une activité normale ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela dépend de la guérison, mais généralement après plusieurs semaines à quelques mois."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles après une chirurgie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infection, non-union, mal-union et complications neurologiques peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une non-union ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Absence de guérison de la fracture après plusieurs mois, avec douleur persistante."
}
},
{
"@type": "Question",
"name": "Les plaques peuvent-elles provoquer des douleurs ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs peuvent survenir si la plaque irrite les tissus environnants."
}
},
{
"@type": "Question",
"name": "Qu'est-ce qu'une mal-union ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est lorsque la fracture guérit dans une position incorrecte, entraînant des déformations."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles nécessiter une nouvelle chirurgie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines complications comme la non-union peuvent nécessiter une intervention chirurgicale supplémentaire."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de fractures ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Âge avancé, maladies osseuses, faible apport nutritionnel et mode de vie sédentaire."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il la santé osseuse ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut réduire la densité osseuse et augmenter le risque de fractures."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de fractures ou d'ostéoporose augmentent le risque."
}
},
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"@type": "Question",
"name": "L'activité physique régulière est-elle protectrice ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exercice régulier renforce les os et réduit le risque de fractures."
}
},
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"@type": "Question",
"name": "Les médicaments peuvent-ils affecter la santé osseuse ?",
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Rigshospitalet, Department of Orthopedic Surgery, Copenhagen Limb Lengthening and Bone Reconstruction Unit, Denmark (Dr. Kähler Olesen, Dr. Nygaard, and Dr. Singh); the Memorial Sloan Kettering Cancer Center, Orthopedic Service, New York City, NY (Dr. Prince); the Sinai Hospital, Rubin Institute for Advanced Orthopedics, International Center for Limb Lengthening, Baltimore, MD (Dr. Herzenberg); the Springfield Clinic, Springfield, IL (Dr. Gardner); the Nuffield Orthopedic Centre, Oxford University Hospitals, UK (Dr. McNally); and the Children's University Hospital, Dublin, Ireland (Dr. Green).
Intramedullary bone-lengthening nails have become increasingly popular. The 2 most used and successful nails are the FITBONE and the PRECICE nails. Uniform reporting is lacking on complications of int...
We performed a retrospective review of patients operated on with intramedullary lengthening nails at 2 hospitals. We included only lower limb lengthening with FITBONE and PRECICE nails. Recorded patie...
314 segments in 257 patients were included. The FITBONE nail was predominantly used (75%), and most of the lengthenings were performed in the femur (80%). 53% of the patients had complications. 269 co...
Complications with intramedullary bone lengthening nails were more frequent than has previously been reported, with 53% of patients sustaining a complication. Future studies need to document the compl...
The objective of this retrospective study was to assess the effect of the nail to canal ratio and the number and configuration of distal locking screws in bone healing in tibial shaft fractures....
We analyzed 223 consecutive tibial shaft fractures treated with reamed intramedullary nailing between January 2014 and December 2020. We recorded and evaluated the nail to canal ratio (NCR) and the nu...
Bone union was achieved in 195 (87.44%) patients. Uni- and bivariate analyses showed that bone union increased significantly with larger NCR (p = 0.0001) and a greater number of locking planes (p = 0....
Our findings suggest that in tibial shaft fractures treated with intramedullary nailing, NCR should be equal to or greater than 0.79. Additionally, distal locking screws should be used with a biplanar...
A 34-year-old man with a distal tibia bone defect was treated with an intramedullary bone transport nail (Precice Bone Transport System, NuVasive). During planned removal after successful treatment, 7...
When planning for implant removal, surgeons should be aware of potential intraoperative disconnection of subcomponents of this magnetic bone transport nail and ensure that equipment for retrieval (e.g...
Closed reamed locked intramedullary nailing has been the treatment of choice for most of femoral shaft fractures. A high union rate with a low complication rate is generally predictable. For an asepti...
From July 2011 to March 2019, 48 consecutive adult patients (average, 38 years; range, 19-67 years) with aseptic femoral shaft nonunions after intramedullary nailing treatment were studied. All femora...
Forty-one patients were followed for an average of 2.8 years (85.4%; range, 1.9-4.5 years) and all fractures healed. The union rate was 100% (41/41, p < 0.001) with a union time of an average of 3.4 m...
The described modified bone grafting technique may effectively improve a union rate of exchange femur nailing while the surgical procedure is not complicated. It may therefore be used concomitantly in...
This retrospective study aimed to assess the impact of distal nail placement on misalignment and healing rates in distal tibial fractures....
We reviewed all patients with distal tibial fracture treated with intramedullary nailing between 2015 and 2021, and a minimum follow-up of 12 months. Distal nail positioning was determined according t...
Out of the 62 patients included, 56 (90.3%) show bone union without additional procedure, 3 (4.8%) with dynamization, and 3 (4.8%) showed non-union. Twenty-one (33.8%) presented misalignment, with val...
In intramedullary nailing of distal tibial fractures, distal positioning of the nail slightly lateral to the center of the talus in the coronal plane and slightly posterior in the sagittal plane (zone...
In this study, we treated infected ankle bone defects with the induced membrane two-stage technique. The ankle was fused with a retrograde intramedullary nail in the second stage, and the aim of this ...
Elastic stable intramedullary nailing (ESIN) internal fixation is used clinically to treat pathological fractures of bone cysts in children. However, one of the most important complications was remova...
To evaluate the effectiveness of a sequential internal fixation strategy and intramedullary nailing with plate augmentation (IMN/PA) for bone reconstruction in the management of infected femoral shaft...
We performed a retrospective descriptive cohort study of 21 patients (mean age, 36.4 years) with infected bone defects of the femoral shaft treated by the Masquelet technique with a minimum follow-up ...
The median and quartiles of bone defect length was 7 (4.75-9.5) cm. Four patients required iterative debridement for infection recurrence after T1. The median of interval between T1 and T2 was 10 (9-1...
For infected femoral shaft bone defects treated by the Masquelet technique, sequential internal fixation and IMN/PA for the reconstruction can provide excellent mechanical stability, which is benefici...
The task faced by surgeons becomes significantly more challenging when they encounter lower extremity bone defects due to a variety of causes requiring lengthening. The most discussed and successful a...
The data were collected from PubMed, Cochrane Library, Embase, and the Web of Science for all available studies comparing the outcomes of Ilizarov technique alone and LON technique (from January 1, 19...
This review included thirteen studies comprising a total of 629 patients.The external fixation index (month/cm) was significantly smaller in the LON technique compared to the Ilizarov technique alone ...
Our findings indicate that patients treated with the LON technique experienced significantly shorter external fixation durations and a lower incidence of complications (e.g., pin tract infections and ...
The treatment of infected non-unions of the femur and the tibia remains difficult and requires control of the infection and successful bone healing. Antimicrobial coating of intramedullary nails promi...